摘要
目的:探究提上睑肌缩短联合睑板部分切除与单纯改良额肌瓣悬吊术治疗重度上睑下垂的效果及安全性。方法:选取医院2018年7月-2021年1月收治的108例(136眼)重度上睑下垂患者为研究对象,依据简单随机数字表法分为实验组(67眼)和对照组(69眼),分别54例。实验组采用提上睑肌缩短联合睑板部分切除治疗,对照组采用改良额肌瓣悬吊术治疗,比较两组临床疗效、术后1 d和7 d瞬目次数、上睑活动范围情况、并发症发生情况及手术满意度的差异。结果:实验组总有效率(90.7%)明显高于对照组(75.9%),差异有统计学意义(P<0.05);两组术后7 d瞬目次数显著多于术后1 d,上睑活动范围显著大于术后1 d,差异有统计学意义(P<0.05);实验组术后1 d、术后7 d瞬目次数多于对照组,上睑活动范围大于对照组,差异有统计学意义(P<0.05);实验组上睑缘高度对称优良率(98.1%)明显高于对照组(74.1%),差异有统计学意义(P<0.05),实验组并发症发生率(12.9%)明显低于对照组(33.3%),差异有统计学意义(P<0.05);实验组总满意度(88.9%)明显高于对照组(74.1%),差异有统计学意义(P<0.05)。结论:与单纯改良额肌瓣悬吊术治疗重度上睑下垂比较,提上睑肌缩短联合睑板部分切除治疗效果更好,其并发症发生率更低,对症状改善效果更好,安全性高。
Objective To explore the eff ect and safety of levator palpebral muscle shortening combined with partial tarsectomy and simple modifi ed frontal muscle fl ap suspension in the treatment of severe blepharoptosis.Methods A total of 108 patients(136 eyes)with severe ptosis who were treated in the hospital from July 2018 to January 2021 were selected as the research objects,and divided into experimental group(67 eyes)and control group(69 eyes)according to the simple random number table method,54 cases respectively.The experimental group was treated with levator muscle shortening combined with partial tarsal excision,and the control group was treated with modified frontalis muscle flap suspension.The clinical efficacy of the two groups,the number of blinks and the range of motion of the upper eyelid at 1d and 7d after surgery,were compared.Complications and differences in surgical satisfaction.Results The total effective rate of the experimental group(90.7%)was signifi cantly higher than that of the control group(75.9%),and the diff erence was statistically signifi cant(P<0.05).The number of blinks on the 7th day after the operation was signifi cantly more than that on the 1st day after the operation,and the range of upper eyelid movement Signifi cantly greater than 1 day after surgery,the diff erence was statistically signifi cant(P<0.05).The number of blinks in the experimental group was more than that of the control group at 1 day and 7 days after surgery,and the range of upper eyelid movement was larger than that of the control group,and the diff erence was statistically signifi cant(P<0.05).The excellent and good rate of upper eyelid margin height symmetry in the experimental group(98.1%)was signifi cantly higher than that in the control group(74.1%),and the diff erence was statistically signifi cant(P<0.05).The complication rate of the experimental group(12.9%)was signifi cantly lower than that of the control group(33.3%),and the diff erence was statistically signifi cant(P<0.05).The total satisfaction of the experimental group(88.9%)was signifi cantly higher than that of the control Group(74.1%),the diff erence was statistically signifi cant(P<0.05).Conclusion Compared with the simple modifi ed frontal muscle fl ap suspension in the treatment of severe blepharoptosis,the shortening of the levator palpebral muscle combined with partial tarsal resection has a better therapeutic eff ect,with a lower incidence of complications,a better eff ect on symptom improvement,and a higher safety.
作者
冯蕾
刘志强
李冰
FENG Lei;LIU Zhiqiang;LI Bing(Department of Ophthalmology,Huaibei Miners General Hospital,Huaibei 235000,Anhui,China)
出处
《中国美容医学》
CAS
2023年第3期12-15,共4页
Chinese Journal of Aesthetic Medicine
关键词
提上睑肌缩短
睑板部分切除
改良额肌瓣悬吊术
上睑下垂
重度
效果
levator muscle shortening
partial tarsal excision
modifi ed frontalis muscle fl ap suspension
ptosis
severe
eff ect
